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目的:观察益气健脾活血法预防老年髋部骨折围手术期并发电解质紊乱的临床疗效。方法:将患者112例按随机原则分成两组,对照组采用西医常规治疗,试验组在西医常规治疗基础上加用益气健脾活血的协定处方治疗。结果:两组在服3剂及6剂中药后出现电解质紊乱例数相近(P>0.05),无明显统计学意义,但在停服4天后(围手术期间)发生电解质紊乱例数有明显统计学意义(P<0.05);试验组在围手术期间发生腹胀、腹泻的例数明显少于对照组,均有明显统计学意义(P<0.05);提示试验组在预防围手术期发生电解质紊乱及腹胀、腹泻等并发症有明显优势,从而提高手术成功率、缩短围手术期。结论:中医药预防老年髋部骨折围手术期并发电解质紊乱有明显优势。
Objective: To observe the clinical effects of Yiqi Jianpi Huoxue Method in preventing perioperative electrolyte disturbance in elderly patients with hip fracture. Methods: One hundred and twelve patients were divided into two groups randomly according to the principle of randomization. The control group was treated routinely with western medicine. The experimental group was treated with the prescription prescription of reinforcing qi and invigorating the spleen and activating blood on the basis of routine treatment of western medicine. Results: There were no statistically significant differences in electrolyte imbalance between the two groups (P> 0.05) after 3 and 6 doses of Chinese herbs, however, there were obvious statistics on electrolyte imbalance (P <0.05). The incidence of abdominal distension and diarrhea in the experimental group was significantly less than that in the control group (P <0.05), suggesting that the experimental group had a preventive effect on perioperative electrolyte imbalance And abdominal distension, diarrhea and other complications have obvious advantages, thereby improving the success rate of surgery, shortening perioperative period. Conclusion: Traditional Chinese medicine has obvious advantages in prevention of electrolyte imbalance during perioperative period in elderly patients with hip fracture.